Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial
Background Regional anesthesia techniques constitute an important part of successful analgesia strategies in the perioperative care of patients undergoing breast surgery. The advent of ultrasound-guided regional anesthesia has led to the development of fascial plane blocks. The large array of blocks...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2023-08-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-22188.pdf |
| _version_ | 1797771623750696960 |
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| author | Sevim Cesur Can Aksu Sertaç Ata Güler Alparslan Kuş |
| author_facet | Sevim Cesur Can Aksu Sertaç Ata Güler Alparslan Kuş |
| author_sort | Sevim Cesur |
| collection | DOAJ |
| description | Background Regional anesthesia techniques constitute an important part of successful analgesia strategies in the perioperative care of patients undergoing breast surgery. The advent of ultrasound-guided regional anesthesia has led to the development of fascial plane blocks. The large array of blocks available for postoperative analgesia in breast surgery has increased the accessibility of regional anesthesia but has also created a dilemma of choice. This study compared the analgesic efficacy of the ultrasound-guided modified pectoral nerve (PECS) block and erector spinae plane block (ESPB) in patients undergoing radical mastectomy. Methods Seventy women were enrolled in this prospective, double-blind, randomized control trial. After exclusion, 67 female patients who underwent radical mastectomy were finally analyzed. Ultrasound-guided PECS blocks and ESPBs were performed with 30 ml 0.25% bupivacaine. Postoperative morphine and pain scores were compared between the groups. Results Postoperative total morphine consumption in the first 24 h was significantly higher in the PECS group (P < 0.001). The ESPB group exhibited significantly reduced morphine consumption at all postoperative time points. Numeric rating scale scores were lower in the ESPB group at 6, 12, and 24 h postoperatively at rest and when coughing. Conclusions Ultrasound-guided bi-level ESPBs provided better postoperative analgesia than PECS blocks after radical mastectomy surgery. |
| first_indexed | 2024-03-12T21:40:16Z |
| format | Article |
| id | doaj.art-40530959e0f14379b7d313292cab817f |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-03-12T21:40:16Z |
| publishDate | 2023-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-40530959e0f14379b7d313292cab817f2023-07-27T00:56:44ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632023-08-0176431732510.4097/kja.221888891Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trialSevim Cesur0Can Aksu1Sertaç Ata Güler2Alparslan Kuş3 Department of Anesthesiology and Reanimation, Kocaeli University, Kocaeli, Turkey Department of Anesthesiology and Reanimation, Kocaeli University, Kocaeli, Turkey Department of General Surgery, Kocaeli University, Kocaeli, Turkey Department of Anesthesiology and Reanimation, Kocaeli University, Kocaeli, TurkeyBackground Regional anesthesia techniques constitute an important part of successful analgesia strategies in the perioperative care of patients undergoing breast surgery. The advent of ultrasound-guided regional anesthesia has led to the development of fascial plane blocks. The large array of blocks available for postoperative analgesia in breast surgery has increased the accessibility of regional anesthesia but has also created a dilemma of choice. This study compared the analgesic efficacy of the ultrasound-guided modified pectoral nerve (PECS) block and erector spinae plane block (ESPB) in patients undergoing radical mastectomy. Methods Seventy women were enrolled in this prospective, double-blind, randomized control trial. After exclusion, 67 female patients who underwent radical mastectomy were finally analyzed. Ultrasound-guided PECS blocks and ESPBs were performed with 30 ml 0.25% bupivacaine. Postoperative morphine and pain scores were compared between the groups. Results Postoperative total morphine consumption in the first 24 h was significantly higher in the PECS group (P < 0.001). The ESPB group exhibited significantly reduced morphine consumption at all postoperative time points. Numeric rating scale scores were lower in the ESPB group at 6, 12, and 24 h postoperatively at rest and when coughing. Conclusions Ultrasound-guided bi-level ESPBs provided better postoperative analgesia than PECS blocks after radical mastectomy surgery.http://ekja.org/upload/pdf/kja-22188.pdfanalgesiabreast neoplasmsdiagnostic imaginglocal anestheticsnerve blockpostoperative pain |
| spellingShingle | Sevim Cesur Can Aksu Sertaç Ata Güler Alparslan Kuş Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial Korean Journal of Anesthesiology analgesia breast neoplasms diagnostic imaging local anesthetics nerve block postoperative pain |
| title | Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial |
| title_full | Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial |
| title_fullStr | Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial |
| title_full_unstemmed | Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial |
| title_short | Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial |
| title_sort | modified pectoral nerve block versus bi level erector spinae plane block for postoperative analgesia after radical mastectomy surgery a prospective randomized controlled trial |
| topic | analgesia breast neoplasms diagnostic imaging local anesthetics nerve block postoperative pain |
| url | http://ekja.org/upload/pdf/kja-22188.pdf |
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